Example of a Witness Statement

IN THE FAMILY COURT SITTING AT LONDON Statement for: (Applicant/Respondent)

IN THE MATTER OF THE CHILDREN ACT 1989 Witness: Name of Witness
AND IN THE MATTER OF THE CHILD: Childs Name (Date Statement No:
of Birth) Made: Date
Case No: ____________

BETWEEN :
Applicant

-and-

Respondent

STATEMENT ON BEHALF OF THE APPLICANT

I (Name of Applicant), of (Address) make this statement in support of my application for a Child Arrange-
ments Order.

1. Information regarding back ground information to the situation.

2. Brief summary of what has arisen to bring the current situation to court.

3. What the applicant is applying for and why

4. Any additional information that may support the above application

5. Any summary of the above and outline what outcome the applicant would like to see from
the court.

I (the applicant) BELIEVE THE FACTS STATED IN THIS STATEMENT ARE TRUE

[SIGNATURE]

Name

[DATED]